Physical activity. Everyone needs regular aerobic exercise, and people who have diabetes are no exception. Exercise lowers your blood sugar level by moving sugar into your cells, where it’s used for energy. Exercise also increases your sensitivity to insulin, which means your body needs less insulin to transport sugar to your cells. Get your doctor’s OK to exercise. Then choose activities you enjoy, such as walking, swimming or biking. What’s most important is making physical activity part of your daily routine. Aim for at least 30 minutes or more of aerobic exercise most days of the week. If you haven’t been active for a while, start slowly and build up gradually.
When you eat excess calories and fat, your body responds by creating an undesirable rise in blood glucose. If blood glucose isn’t kept in check, it can lead to serious problems, such as a dangerously high blood glucose level (hyperglycemia) and long-term complications, such as nerve, kidney and heart damage.
Numerous substances have been shown to improve insulin sensitivity in some studies, while other studies fail to find any benefit for blood sugar control or in lowering A1C levels. Because of the conflicting findings, there aren’t any alternative therapies that are currently recommended to help with blood sugar management.
A recent study found that people who kept a food diary lost twice as much weight as those who didn’t. Why? A written record helps you identify problem areas—such as your afternoon snack or your morning latte—where you’re getting more calories than you realized. It also increases your awareness of what, why, and how much you’re eating, which helps you cut back on mindless snacking.
It’s possible to include most foods in a diabetic diet, although some need to be eaten sparingly or in moderation. Some foods can be considered “diabetes superfoods.” This is because they are rich in important vitamins and minerals, along with fiber and have a minimal effect on blood sugar levels.
Type diabetes is ‘reversible through weight loss’ Experts say that few doctors and patients know that type 2 diabetes can be reversed and call for more effort to record remission cases and raise awareness. Read now
Another newer concern is an association of treatment with a small increase in the frequency of fractures of the distal long bones of the arms and legs. At present, this observation does not translate into fractures of the hip and spine, which would be more worrisome. More data is still needed to make a definitive statement about cause and effect.
Not everyone with type 2 diabetes needs to use insulin. If you do, it’s because your pancreas isn’t making enough insulin on its own. It’s crucial that you take insulin as directed. There are other prescription medications that may help as well.
In patients with metformin contraindications or intolerance, consider an initial drug from another class depicted in Fig. 8.1 under “Dual Therapy” and proceed accordingly. When A1C is ≥9% (75 mmol/mol), consider initiating dual combination therapy (Fig. 8.1) to more expeditiously achieve the target A1C level. Insulin has the advantage of being effective where other agents may not be and should be considered as part of any combination regimen when hyperglycemia is severe, especially if catabolic features (weight loss, ketosis) are present. Consider initiating combination insulin injectable therapy (Fig. 8.2) when blood glucose is ≥300 mg/dL (16.7 mmol/L) or A1C is ≥10% (86 mmol/mol) or if the patient has symptoms of hyperglycemia (i.e., polyuria or polydipsia). As the patient’s glucose toxicity resolves, the regimen may, potentially, be simplified.
The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, or early-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.
@NikolaNeenaj Ours became life-threatening. The school were interfering with his diabetes, dangerously and against his say-so. But as a child, what was he supposed to do? All part of his walk-out and by that point, I agreed with him wholeheartedly. All in writing too. Yet they still blamed me.
As someone who eats a lot of tofu, I have to admit it doesn’t taste like much. The good thing is that it will absorb just about any flavor you put on it, so you can use a wide variety of seasonings and sauces. We have many tasty tofu recipes on our site.
People with T1D would never benefit from JDRF-funded innovations without our donors. The work to create transformational therapies to help people live with T1D cannot—and must not—be allowed to stop because dedicated researchers lack funds. Laboratory studies that are unlocking the mysteries of T1D and accelerating progress toward a cure and prevention must continue. With the generous help of supporters like you, JDRF is pursuing a diversified, dynamic research agenda that is moving us ever closer to a world without T1D.
Prediabetes can typically be reversed (without insulin or medication) by lifestyle changes, such as losing a modest amount of weight and increasing physical activity levels. Weight loss can prevent, or at least delay, the onset of type 2 diabetes.
Commit to managing your diabetes. Learn all you can about type 2 diabetes. Make healthy eating and physical activity part of your daily routine. Establish a relationship with a diabetes educator, and ask your diabetes treatment team for help when you need it.
Jump up ^ Lustman, P. J.; Anderson, R. J.; Freedland, K. E.; Groot, M. de; Carney, R. M.; Clouse, R. E. (2000-07-01). “Depression and poor glycemic control: a meta-analytic review of the literature”. Diabetes Care. 23 (7): 934–42. doi:10.2337/diacare.23.7.934. ISSN 0149-5992. PMID 10895843.